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Home My Public Portal AboutMILLER AV_1 1 U.S. DEPARTMENT OF HOMELAND SECURITY 4.EVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28.2009 Natal Flood Insurance Program Impottant: Read the instructions on pages 1 SECTION A - PROPERTY INFOFtiVIARON 1 For Insurance Company Use: Al . Building Owner's Name CARY HARDEE i Policy Number A2. Building Street Address (including Apt., Unit, Suite, arlior Bldg. No.) or P.O. Route and Box No. I Company NAIL Number 1 MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Desaiption (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc.) LOT 165 & 165-A, WARD 1, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addn, Accessory, etc.) FaSIDENTIAL A5. Latitude/Longitude: Let. 32.01452 Long. 80.84a8§ Horizontal Datum: (] NAD 1927 ! NAD 1983 A6. Attach at least 2 photographs of the building tribe is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), prime A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) NA aq ft a) Square footage of attached garage X22 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent tined openings in the attached garage enclosure(s) was win 1.0 foot above adjacent grade t 1 watts within 1.0 foot above adjacent grade MA EN c) Toles net area of flood openings in A8.b ! WA sq in c) Total net area of flood openings in A9.b NIA sq in SECTION B - FLOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP Community Name s Community Ntnnber 1 82. C:ointy Na 83. State TYBEE ISLAND, GEORGIA - 135164 V I Name CHATHAM I GA B4. Map/Panel Number 85. Suffix 86. FIRM index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date i Effective/Revised Date Zone(s) AO, use base flood depth) 135164-0001 C 6/17188 1 6/17186 A8 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FiRM 0 Community Determined ❑ Other (Describe) 611. Indicate elevation datum used for BFE in Item B9: ■_a NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes 0 No Designation Date NNp ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ci. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* 0 Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete tterns C2.a-g below accordng to the bolding diagram specified In item A7. Benchmark Utilized ) Vertical Datum NGVD 1929 Conversion /Comments NONE Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ $.j)¢ ►_i feet ❑ meters (Puerto Rico only) b) Top of the next higher floor Ea 0 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) WS._ 0 feet 0 meters (Puerto Rico only) d) Attached garage (top of slab) fiat 7 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.4:1 0 feet ❑ meters (Puerto Rico onty) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (1.AG) $.f 0 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) $.Q is feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement maybe punishable by fine or irnprisonment under 18 U.S. Code, Section 1001. • ®,,,...,' CI' a Check here if comments are provided on back of form. d ti ,� r '7,r- , +•. Certifier's Name BERT B. BARRETT, JR. License Number GA 7275 , . Title PRESIDENT Company Name BERT BARRETt, JR. LAND SURVEYING, P.C. V �. Address 145J�UN OAD ( \ City SAVANNAH State GA ZIP Code 31410 �'#/'" � ;�ri •� 1 I \ \ signature ` ,, \ L Date 1/30/08 Telephone 912 - 897-0661 a ,, R ArG 1 l I Vic FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the correslionding Information from Section A. 1 For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg_ No.) or P.O. Route and Box No. l Policy Number 1 MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 1 Company NAIC Number 1 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) !1 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) budding aaner. Comments 1. THE ELEVATION OF THE OUTSIDE HEATPUMP UNITS (CONDENSER) ARE AT 9.4 & 16.2' NGVD 1929, 2. GARMIN ETREX LEGEND GPS UNIT USED FOR LAT/LONG 3. T THE TIME THIS HOUSE WAS BUILT THE OUTSIDE HEATPUMP UNIT WAS NOT REQUIRED TO BE ELEVATED. 4. HE f EVATION OF THE SECOND STORY IS 18.7T NGVD 1929. Signature `�' Date 1!30/08 }_ N 1 1-P, n Check here if attachments SECTION E - BUILDING ELOATION INFORMATION TION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. Ifthe Certificate Is intended to support a LOMA cc LOMR -F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if evadable. Check the measurement used. In Puerto Rico only, enter meters. El . Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is N /A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is / I,. ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of instructions), the next higher floor (elevation C2.b in the diagrams) of the building is VA ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is WA. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative completes Sections A, B, and E for Zone A (without a FEMA - issued or community -issued BFE) or Zone AO must sign here. The statements in Sections At 8, end E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address N/A City N/A State N/ ZIP Code N/A • Signature N/A Date N/A Telephone N/A Comments N/A El ch here if attachments SECTION'S - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used In Items G8. and 09. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation lnformatoci (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a ball iding located In Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permltissued G6. Date Certificate Of Compliance /Occupancy Issued j N/A N/A ' I ( N/A l 07. This permit has been issued for: ❑ New Const • ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) the buiding: N /A. _❑ feet ❑ meters (PR) Datum WA G9. BFE or (in Zone AO) depth of flooding at the building N/A. ❑ feet ❑ meters (PR) Datum N/A Local Official's Nano N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A J Comments N/A • rt Check here If attachments FEMA Form 81 - 31, February 2006 Replaces all previous editions